- Cognizant (Baton Rouge, LA)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Baton Rouge, LA)
- … + Education: Diploma RN acceptable;Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse , 1+ years of clinical experience in acute or ... post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have...Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse , 1+ years of clinical… more
- CVS Health (Baton Rouge, LA)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules...will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process to… more
- Veterans Affairs, Veterans Health Administration (Hammond, LA)
- …EDRP candidate ineligible to apply. Responsibilities The Outpatient Mental Health (MH) Registered Nurse (RN) promotes personal growth and development of ... The MH RN documents nursing triage assessments, risk screens, clinical reminders, and patient plan of care in accordance...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Evolent (Baton Rouge, LA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- CVS Health (Baton Rouge, LA)
- …referrals to specialty providers and goals are being met **Required Qualifications** * Registered Nurse (Required) * Ability to facilitate in-person and via ... it all with heart, each and every day. **Position Summary** The Utilization Management Coordinator/UMNC assists in ensuring that authorization request decisions are… more
- CenterWell (Baton Rouge, LA)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... position comes with a $10K sign-on bonus.** + The ** Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse in a home care, with… more
- Highmark Health (Baton Rouge, LA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- CVS Health (Baton Rouge, LA)
- …conditions. + **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse (RN) license** ; multi-state licensure preferred. + ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… more